Public health and human rights: questions from an epidemic in Prato

This article uses Carlo Cipolla's account of the plague epidemic in Prato in 1630-1631 to identify several key questions in public health. The article goes on to observe that the underlying problems posed for public health by the plague epidemic in Prato are similar, in important respects, to those encountered in addressing contemporary public health concerns. Questions of inequalities in health and socio-economic differentials in mortality; the relationship between economic wellbeing and health; the relevance of access to effective interventions; the significance of knowledge concerning disease aetiology or uncertainty in devising and implementing appropriate interventions; and the role of regulation in controlling public health hazards are as relevant today as in the Renaissance. However, contemporary recognition of the right to the highest attainable standard of health has altered the nature of public health responses. Concern for individuals' and populations' rights to health can be seen to have the potential to inform policies for inequalities in health, for economic development in middle- and low-income countries, for access to health care and essential medicines, and for strategies to regulate and control emerging risks to health.